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THOMAS A MATHEW M.D.
NPI 1952406530
Internal Medicine in Newark, DE

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
111 CONTINENTAL DR, SUITE 406, NEWARK, DE 19713(302) 368-2630(302) 368-1271 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas A Mathew M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS A MATHEW M.D. (NPI 1952406530) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0008008) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2003).

NPPES Registry Identity

NPI1952406530
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS A MATHEWCredential: M.D.
Location Address111 CONTINENTAL DR, SUITE 406Newark, DE 19713-4306
Mailing Address111 Continental Dr, Suite 406Newark, DE 19713-4306 · (302) 368-2630 · Fax (302) 368-1271
Phone(302) 368-2630
Fax(302) 368-1271
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2003
Enumeration DateSeptember 14, 2006
Last NPPES UpdateFebruary 7, 2008
✔ NPI 1952406530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0008008
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 CONTINENTAL DR, Newark, DE 19713
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Other Identifiers 2

Medicare PING02723I11DE
Medicare UPINI66688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas A Mathew M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648271106
PECOS Enrollment IDI20070125000356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
211 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS P KNIPPER CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR
NEWARK, DE 19713
New Castle County (302) 709-4504
DR. SURESH TRIVEDI M.D.
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
DONTE L LANG CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 313
NEWARK, DE 19713
New Castle County (302) 709-4504
RABIA M QURESHI MD
Family Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
KUNAL PIKOO BHAGAT MD
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630
JEFFREY LANDAU CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR
NEWARK, DE 19713
New Castle County (302) 709-4504
SEAN M OGDEN CRNA
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 412
NEWARK, DE 19713
New Castle County (302) 709-4497
INPATIENT CONSULTANTS OF PENNSYLVANIA PC
Hospitalist
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
New Castle County (302) 368-2630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Mathew's NPI number?

The NPI number for Thomas Mathew is 1952406530. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Thomas Mathew located?

Thomas Mathew practices at 111 Continental Dr Suite 406, Newark, DE 19713. The listed phone number is (302) 368-2630.

What is Thomas Mathew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Mathew enrolled in Medicare?

Yes. Thomas Mathew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Mathew accept?

Health plans from AmeriHealth Caritas Next list Thomas Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Mathew was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.